The Mini-Mental State Examination (MMSE) is a 30-point questionnaire that is used to measure cognitive impairment. It tests several areas: orientation, registration, attention, calculation, recall, language, and visual construction. Higher scores indicate better cognitive performance, with 24-30 considered normal. The MMSE takes 5-10 minutes to administer and is commonly used to screen for dementia.
Extrapyramidal symptoms. ... These symptoms include dystonia (continuous spasms and muscle contractions), akathisia (motor restlessness), parkinsonism (characteristic symptoms such as rigidity), bradykinesia (slowness of movement), and tremor, and tardive dyskinesia (irregular, jerky movements).
This ppt describes various movement disorders found commonly in elderly persons. It also describes hyper and hypokinetic disorder categorization with cause and pathophysiology of movement disorders.
Extrapyramidal symptoms. ... These symptoms include dystonia (continuous spasms and muscle contractions), akathisia (motor restlessness), parkinsonism (characteristic symptoms such as rigidity), bradykinesia (slowness of movement), and tremor, and tardive dyskinesia (irregular, jerky movements).
This ppt describes various movement disorders found commonly in elderly persons. It also describes hyper and hypokinetic disorder categorization with cause and pathophysiology of movement disorders.
Derived from Greek word “enkephalos”- meaning brain.
“Pathos” meaning is disease.
The term “encephalopathy” is defined as altered mental status as a result of a diffuse disturbance of brain function.
SO GUYS ONCE AGAIN HERE I PRESENT U THE OWN MADE PRESENTATION ON THE TOPIC DEMENTIA I HOPE U LIKE THAT IT IS BEEN USEFUL U WHILE MAKING PSYCHIATRIC PRESENTATION
Bulbar palsy refers to impairment of function of the cranial nerves IX, X, XI and XII, which occurs due to a lower motor neuron lesion either at nuclear or fascicular level in the medulla oblongata or from lesions of the lower cranial nerves outside the brainstem.
Amyotrophic lateral sclerosis (ALS), AKA "Lou Gehrig's Disease," is a progressive neurodegenerative disease that affects nerve cells in the brain and the spinal cord. Motor neurons reach from the brain to the spinal cord and from the spinal cord to the muscles throughout the body. The progressive degeneration of the motor neurons in ALS eventually leads to their death. When the motor neurons die, the ability of the brain to initiate and control muscle movement is lost. With voluntary muscle action progressively affected, patients in the later stages of the disease may become totally paralyzed.
Derived from Greek word “enkephalos”- meaning brain.
“Pathos” meaning is disease.
The term “encephalopathy” is defined as altered mental status as a result of a diffuse disturbance of brain function.
SO GUYS ONCE AGAIN HERE I PRESENT U THE OWN MADE PRESENTATION ON THE TOPIC DEMENTIA I HOPE U LIKE THAT IT IS BEEN USEFUL U WHILE MAKING PSYCHIATRIC PRESENTATION
Bulbar palsy refers to impairment of function of the cranial nerves IX, X, XI and XII, which occurs due to a lower motor neuron lesion either at nuclear or fascicular level in the medulla oblongata or from lesions of the lower cranial nerves outside the brainstem.
Amyotrophic lateral sclerosis (ALS), AKA "Lou Gehrig's Disease," is a progressive neurodegenerative disease that affects nerve cells in the brain and the spinal cord. Motor neurons reach from the brain to the spinal cord and from the spinal cord to the muscles throughout the body. The progressive degeneration of the motor neurons in ALS eventually leads to their death. When the motor neurons die, the ability of the brain to initiate and control muscle movement is lost. With voluntary muscle action progressively affected, patients in the later stages of the disease may become totally paralyzed.
Mental Health and Cognitive Changes in the Older AdultPaul McNamara
As we get older, the likelihood of undergoing alterations to brain function is high. This may include normal neurodegenerative changes as well as abnormal deteriorations. Separating normal from dysfunctional degeneration when screening and assessing an older adult is essential for quality nursing care planning. This session will look at:
What are normal age-related changes to the brain and consequent behavioural signs?
How are these changes different to the onset of mental health disorders such as schizophrenia, psychosis or bipolar disorder?
Age appropriate assessment tools for effective mental health assessment
Benefits of brief psychosocial interventions
What practical behavioural strategies may improve outcomes for a person with a mental health disorder and cognitive changes?
April 27, 2018
With over 70 million Baby Boomers retiring, elder financial exploitation has been labeled the “Crime of the 21st Century.” In this half-day event, we will explore the neuroscience, psychology, and legal doctrine of financial decision-making in older adults. How does the aging brain make financial decisions, and when is it uniquely susceptible? How can courts best use science to improve their adjudication of disputes over “competency”, “capacity”, and “undue influence”? Is novel neuroimaging evidence of dementia ready for courtroom use? This conference brought together experts in medicine, science, and law to explore these important questions and chart a path forward for dementia and the law.
For more information, visit our website at: http://petrieflom.law.harvard.edu/events/details/our-aging-brains
This presentation briefs out the approach of dementia assessment in line with consideration of recent advances. Now the pattern of assessment has evolved towards examining each individual domain rather than lobar assessment.
Tips For Constructing Objective Written Exam QuestionsSoha Rashed
Tips for constructing objective written exams (MCQs, Short answer questions, Modified essay questions, True/False and Matching questions) for assessing medical students.
Summer (June) 2017
BIA2610
Exam 1
Multiple Choice, Questions 1-5. Place only one letter choice in the space provided. (5 points each)
_______ 1. The human resources department at a major high tech company recently conducted an employee satisfaction survey of 50 of its 2,000 employees. Data were collected on such variables as age, gender, current salary, level of overall satisfaction on a scale from 1 to 5, job title, and county of residence. Which of the variables would be considered categorical data?
a. age, gender, job satisfaction
b. job satisfaction, job title, gender, county of residence, age
c. county of residence, gender, job title, job satisfaction
d. all variables listed are qualitative
_______ 2. Which of the following does a histogram NOT show?
a. center and shape of data
b. relationship between two variables
c. relative frequency of data
d. spread of data
_______ 3. At the end of the school term, students are asked to rate the course and instructor by indicating on a scale of 1-5 how well they liked the course. The data generated from this question are examples of:
a. interval data
b. ordinal data
c. ratio data
d. nominal data
______ 4. When the production manager selects a sample of items that have been produced on her production line and computes the proportion of those items that are defective, the proportion is referred to as a:
a. parameter
b. population
c. mean
d. statistic
_______5. General Electric Corporation tracks employee turnover annually. They currently have a data set that contains turnover rate each year for the past 20 years. What type of data do they have?
a. time series data
b. cross-sectional data
c. nominal data
d. ordinal data
Open Answer, Questions 6-9. Answer each question as completely as possible. Partial credit will be given, so show all work. An answer without any work shown will be taken as a guess and will receive zero points. For example, if you use Excel, write down the function or formula you used. Indicate your final answer by circling it (25 points each).
6. Given the following observations from a sample, calculate the variance and standard deviation.
199
150
267
58
112
109
43
Variance
Standard deviation
7. A study in the Journal of the American Medical Association (February 20, 2008) found that patients who go into cardiac arrest while in the hospital are more likely to die if it happens after 11 pm. The study investigated 58,593 cardiac arrests that occurred during the day or evening. Of those, 11,604 survived to leave the hospital. There were 28,155 cardiac arrests during the shift that began at 11 pm, commonly referred to as the graveyard shift. Of those, 4,139 survived for discharge. The following contingency table summarizes the results of the study.
(round all answers to 3 decimal places)
a.
What is the probability that a randomly selected patient experienced cardiac arrest during the graveyard shift?
b.
Gi ...
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The Optec Plus can be Operated and monitored on a PC, Laptop or Tablet.
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Week 5 Assignment - Case Study Statistical ForecastingDr..docxtroutmanboris
Week 5 Assignment - Case Study: Statistical Forecasting
Dr. Megan Zobb, a key researcher within the North Luna University Medical Center, has been studying a new variant of a skin disease virus that seems to be surfacing among the North Luna University population. This variant (which has been tentatively named Painful Rash or PR), leads to the formation of surface lesions on an individual's body. These lesions are very similar to small boils or isolated shingles sores. These PR lesions are not necessarily clustered as shingles lesions are, but are isolated across the body.
Insights From Initial Interviews
Megan is initiating some efforts at a preliminary analysis. She has seen 20 initial patients and made several observations about the skin disease. She wants to analyze this initial data before structuring and recommending a more encompassing study.
The signs and symptoms of this disorder usually affect multiple sections of the patient's body. These signs and symptoms may include:
Pain, burning, numbness or tingling, but pain is always present.
Sensitivity to touch.
A red rash that begins a few days after the pain.
Fluid-filled blisters that break open and crust over.
Itching.
Some people also experience:
Fever.
Headache.
Sensitivity to light.
Fatigue.
Pain is always the first symptom of PR. For some, it can be intense. Depending on the location of the pain, it can sometimes be mistaken for a symptom of problems affecting the heart, lungs, or kidneys. Some people experience PR pain without ever developing the rash. The degree of pain that the individual experiences is seemingly proportional to the number of lesions.
Dr. Zobb is extremely concerned that this new variant is especially challenging to the younger population, who are active and like to be outdoors. She has asked you as an analyst and statistician for some assistance in analyzing her initial data. She is not a biostatistician, so she requests that you explain the process you use and your interpretation of the results for each task.
Initial Data Analysis
Dr. Zobb has accumulated some data on an initial set of 20 patients across multiple age groups. She believes that the data suggests younger individuals are affected more than others. She wants you to complete the tasks shown here based on the data below.
For each of the following, provide a detailed explanation of the process you used along with your interpretation of the results. Submit the response in a Word document and attach your Excel spreadsheet to show your calculations (where applicable). Be sure to number each response (e.g., 1.a, 1.b,…).
Develop an equation to model the data using a regression analysis approach and explain your calculation process in Excel.
Calculate the r-square statistic using Excel. Interpret the meaning of the r-square statistic in this case.
Determine three conclusions that address the initial observations and are supported by the regression analysis.
Regression Analys.
Directions The purpose of Project 8 is to prepare you for the final.docxeve2xjazwa
Directions: The purpose of Project 8 is to prepare you for the final, comprehensive exam and is set up EXACTLY the same. Questions 1 and 2 are not graded in this exercise, but are on the final. Be sure to answer them still so you can receive feedback. Once done with these, move into the calculation questions.
Be advised that you will need to decide which type of test to use in most of the problems. Please write out all pertinent information for each of the 4 steps of hypothesis testing. For the calculations, you only need to provide the values of all statistics for that test. There is no need to show work.
List the four Steps of the Hypothesis test:
Step 1 –
Step 2 –
Step 3 –
Step 4 –
This semester we have discussed the following statistical analyses.
Z-test
One-Sample
t
-test
Independent Groups
t
-test
Repeated Measures
t
-test
One-Way ANOVA
Repeated Measures ANOVA
Correlation
When do you use them? Please type your answer in the Test Used column.
ơ is given
µ is given
Groups Compared
Test Used
No
No
Looks at the same group at 2 different times or across two different conditions
Yes
Yes
Sample against population
Examines the degree to which two variables relate to one another
No
No
Looks at the same group at 2 or more times or across 2 or more conditions
No
No
Examines mean differences between two different groups
No
Yes
Sample against population
No
No
Examines mean differences between 2 or more groups
1. A researcher for a cereal company wanted to demonstrate the health benefits of eating oatmeal. A sample of 9 volunteers was obtained and each participant ate a fixed diet without any oatmeal for 30 days. At the end of the 30-day period, cholesterol was measured for each individual. Then the participants began a second 30-day period in which they repeated exactly the same diet except that they added 2 cups of oatmeal each day. After the second 30-day period, cholesterol levels were measured again and the researcher recorded the difference between the two scores for each participant. For this sample, cholesterol scores average M = 16 points lower with the oatmeal diet with SS = 538 for the difference scores.
10 points
·
Are the data sufficient to indicate a significant change in cholesterol level? Use a two-tailed test with α = .01.
·
Compute r
2
to measure the size of the treatment effect.
2. One possible explanation for why some birds migrate and others maintain year round residency in a single location is intelligence. Specifically, birds with smaller brain, relative to their body size, are not simply smart enough to find food during the winter and must migrate to warmer climates where food is easily available. Birds with bigger brains, on the other hand, are more creative and can find food even when the weather turns harsh. Following are hypothetical data similar to the actual results. The numbers represent relative brain size for the individual birds in each sample.
10 points
Non-Migrating
S.
1. Week 5 Assignment - Case Study Statistical ForecastingDr. TatianaMajor22
1. Week 5 Assignment - Case Study: Statistical Forecasting
Dr. Megan Zobb, a key researcher within the North Luna University Medical Center, has been studying a new variant of a skin disease virus that seems to be surfacing among the North Luna University population. This variant (which has been tentatively named Painful Rash or PR), leads to the formation of surface lesions on an individual's body. These lesions are very similar to small boils or isolated shingles sores. These PR lesions are not necessarily clustered as shingles lesions are, but are isolated across the body.
Insights From Initial Interviews
Megan is initiating some efforts at a preliminary analysis. She has seen 20 initial patients and made several observations about the skin disease. She wants to analyze this initial data before structuring and recommending a more encompassing study.
The signs and symptoms of this disorder usually affect multiple sections of the patient's body. These signs and symptoms may include:
· Pain, burning, numbness or tingling, but pain is always present.
· Sensitivity to touch.
· A red rash that begins a few days after the pain.
· Fluid-filled blisters that break open and crust over.
· Itching.
Some people also experience:
· Fever.
· Headache.
· Sensitivity to light.
· Fatigue.
Pain is always the first symptom of PR. For some, it can be intense. Depending on the location of the pain, it can sometimes be mistaken for a symptom of problems affecting the heart, lungs, or kidneys. Some people experience PR pain without ever developing the rash. The degree of pain that the individual experiences is seemingly proportional to the number of lesions.
Dr. Zobb is extremely concerned that this new variant is especially challenging to the younger population, who are active and like to be outdoors. She has asked you as an analyst and statistician for some assistance in analyzing her initial data. She is not a biostatistician, so she requests that you explain the process you use and your interpretation of the results for each task.
Initial Data Analysis
Dr. Zobb has accumulated some data on an initial set of 20 patients across multiple age groups. She believes that the data suggests younger individuals are affected more than others. She wants you to complete the tasks shown here based on the data below.
For each of the following, provide a detailed explanation of the process you used along with your interpretation of the results. Submit the response in a Word document and attach your Excel spreadsheet to show your calculations (where applicable). Be sure to number each response (e.g., 1.a, 1.b,…).
1. Develop an equation to model the data using a regression analysis approach and explain your calculation process in Excel.
1. Calculate the r-square statistic using Excel. Interpret the meaning of the r-square statistic in this case.
1. Determine three conclusions that address the initial observations and are supported by the regression analysis.
Regression Anal ...
How to Split Bills in the Odoo 17 POS ModuleCeline George
Bills have a main role in point of sale procedure. It will help to track sales, handling payments and giving receipts to customers. Bill splitting also has an important role in POS. For example, If some friends come together for dinner and if they want to divide the bill then it is possible by POS bill splitting. This slide will show how to split bills in odoo 17 POS.
We all have good and bad thoughts from time to time and situation to situation. We are bombarded daily with spiraling thoughts(both negative and positive) creating all-consuming feel , making us difficult to manage with associated suffering. Good thoughts are like our Mob Signal (Positive thought) amidst noise(negative thought) in the atmosphere. Negative thoughts like noise outweigh positive thoughts. These thoughts often create unwanted confusion, trouble, stress and frustration in our mind as well as chaos in our physical world. Negative thoughts are also known as “distorted thinking”.
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
Palestine last event orientationfvgnh .pptxRaedMohamed3
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
The Art Pastor's Guide to Sabbath | Steve ThomasonSteve Thomason
What is the purpose of the Sabbath Law in the Torah. It is interesting to compare how the context of the law shifts from Exodus to Deuteronomy. Who gets to rest, and why?
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
The French Revolution Class 9 Study Material pdf free download
Mini-Mental State Examination
1. 1
Mini-Mental State Examination (MMSE)
Patient’s Name: Date:
Instructions: Ask the questions in the order listed. Score one point for each correct
response within each question or activity.
Maximum
Score
Patient’s
Score
Questions
5 “What is the year? Season? Date? Day of the week? Month?”
5 “Where are we now: State? County? Town/city? Hospital? Floor?”
3
The examiner names three unrelated objects clearly and slowly, then
asks the patient to name all three of them. The patient’s response is
used for scoring. The examiner repeats them until patient learns all of
them, if possible. Number of trials: ___________
5
“I would like you to count backward from 100 by sevens.” (93, 86, 79,
72, 65, …) Stop after five answers.
Alternative: “Spell WORLD backwards.” (D-L-R-O-W)
3
“Earlier I told you the names of three things. Can you tell me what those
were?”
2
Show the patient two simple objects, such as a wristwatch and a pencil,
and ask the patient to name them.
1 “Repeat the phrase: ‘No ifs, ands, or buts.’”
3
“Take the paper in your right hand, fold it in half, and put it on the floor.”
(The examiner gives the patient a piece of blank paper.)
1
“Please read this and do what it says.” (Written instruction is “Close
your eyes.”)
1
“Make up and write a sentence about anything.” (This sentence must
contain a noun and a verb.)
1
“Please copy this picture.” (The examiner gives the patient a blank
piece of paper and asks him/her to draw the symbol below. All 10
angles must be present and two must intersect.)
30 TOTAL
(Adapted from Rovner & Folstein, 1987)
Source: www.medicine.uiowa.edu/igec/tools/cognitive/MMSE.pdf Provided by NHCQF, 0106-410
2. 2
Instructions for administration and scoring of the MMSE
Orientation (10 points):
• Ask for the date. Then specifically ask for parts omitted (e.g., "Can you also tell me what season it
is?"). One point for each correct answer.
• Ask in turn, "Can you tell me the name of this hospital (town, county, etc.)?" One point for each
correct answer.
Registration (3 points):
• Say the names of three unrelated objects clearly and slowly, allowing approximately one second for
each. After you have said all three, ask the patient to repeat them. The number of objects the
patient names correctly upon the first repetition determines the score (0-3). If the patient does not
repeat all three objects the first time, continue saying the names until the patient is able to repeat all
three items, up to six trials. Record the number of trials it takes for the patient to learn the words. If
the patient does not eventually learn all three, recall cannot be meaningfully tested.
• After completing this task, tell the patient, "Try to remember the words, as I will ask for them in a
little while."
Attention and Calculation (5 points):
• Ask the patient to begin with 100 and count backward by sevens. Stop after five subtractions (93,
86, 79, 72, 65). Score the total number of correct answers.
• If the patient cannot or will not perform the subtraction task, ask the patient to spell the word "world"
backwards. The score is the number of letters in correct order (e.g., dlrow=5, dlorw=3).
Recall (3 points):
• Ask the patient if he or she can recall the three words you previously asked him or her to
remember. Score the total number of correct answers (0-3).
Language and Praxis (9 points):
• Naming: Show the patient a wrist watch and ask the patient what it is. Repeat with a pencil. Score
one point for each correct naming (0-2).
• Repetition: Ask the patient to repeat the sentence after you ("No ifs, ands, or buts."). Allow only one
trial. Score 0 or 1.
• 3-Stage Command: Give the patient a piece of blank paper and say, "Take this paper in your right
hand, fold it in half, and put it on the floor." Score one point for each part of the command correctly
executed.
• Reading: On a blank piece of paper print the sentence, "Close your eyes," in letters large enough
for the patient to see clearly. Ask the patient to read the sentence and do what it says. Score one
point only if the patient actually closes his or her eyes. This is not a test of memory, so you may
prompt the patient to "do what it says" after the patient reads the sentence.
• Writing: Give the patient a blank piece of paper and ask him or her to write a sentence for you. Do
not dictate a sentence; it should be written spontaneously. The sentence must contain a subject
and a verb and make sense. Correct grammar and punctuation are not necessary.
• Copying: Show the patient the picture of two intersecting pentagons and ask the patient to copy the
figure exactly as it is. All ten angles must be present and two must intersect to score one point.
Ignore tremor and rotation.
(Folstein, Folstein & McHugh, 1975)
Source: www.medicine.uiowa.edu/igec/tools/cognitive/MMSE.pdf Provided by NHCQF, 0106-410
3. 3
Interpretation of the MMSE
Method Score Interpretation
Single Cutoff <24 Abnormal
Range
<21
>25
Increased odds of dementia
Decreased odds of dementia
Education
21
<23
<24
Abnormal for 8th
grade education
Abnormal for high school education
Abnormal for college education
Severity
24-30
18-23
0-17
No cognitive impairment
Mild cognitive impairment
Severe cognitive impairment
Sources:
• Crum RM, Anthony JC, Bassett SS, Folstein MF. Population-based norms for the mini-mental state
examination by age and educational level. JAMA. 1993;269(18):2386-2391.
• Folstein MF, Folstein SE, McHugh PR. "Mini-mental state": a practical method for grading the cognitive state
of patients for the clinician. J Psychiatr Res. 1975;12:189-198.
• Rovner BW, Folstein MF. Mini-mental state exam in clinical practice. Hosp Pract. 1987;22(1A):99, 103, 106,
110.
• Tombaugh TN, McIntyre NJ. The mini-mental state examination: a comprehensive review. J Am Geriatr Soc.
1992;40(9):922-935.
Source: www.medicine.uiowa.edu/igec/tools/cognitive/MMSE.pdf Provided by NHCQF, 0106-410